Latourette, Lisa Gordon

Latourette, Lisa Gordon is an individual health care provider with primary practice located at 8575 Rixlew Ln , Manassas VA 20109-3701. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Latourette, Lisa Gordon can be contacted via phone (703) 257-3364.

Contact Information

Primary practice address
8575 Rixlew Ln Manassas VA 20109-3701
Phone: (703) 257-3364
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 2305203147 Virginia

Profile Details

NPI number 1356391536
LBN Legal business name Latourette, Lisa Gordon
Credentials MSPT
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2006
Last updated Dec 30th, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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